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style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438487909842946" itemCode="CM-0-2-1-5"><a id="1463438487909842946_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438487909842946_Note"></span></div><div class="itemTR" id="1463438489923108866_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438489923108866" itemCode="CM-0-2-4-1"><a id="1463438489923108866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438489923108866_Note"></span></div><div class="itemTR" id="1463438491965734913_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438491965734913" itemCode="CM-0-2-4-2"><a id="1463438491965734913_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438491965734913_Note"></span></div><div class="itemTR" id="1463438494100635649_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438494100635649" itemCode="CM-0-2-6-1"><a id="1463438494100635649_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438494100635649_Note"></span></div><div class="itemTR" id="1463438496118095873_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438496118095873" itemCode="CM-0-2-6-2"><a id="1463438496118095873_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438496118095873_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463438498131361793_Row" dic='[{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439163855486977,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439164585295874,"indNo":2,"isActive":1,"desc":"城镇职工基本医疗保险"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439165440933890,"indNo":3,"isActive":1,"desc":"城镇居民基本医疗保险"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439166187520001,"indNo":4,"isActive":1,"desc":"新型农村合作医疗"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439166946689025,"indNo":5,"isActive":1,"desc":"贫困救助"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439167722635266,"indNo":6,"isActive":1,"desc":"商业医疗保险"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"f","id":1463439168469221378,"indNo":7,"isActive":1,"desc":"公费医疗"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"g","id":1463439169563934722,"indNo":8,"isActive":1,"desc":"全自费"},{"formItemId":1463438498131361793,"isDefault":0,"updateDate":1700191257000,"code":"h","id":1463439170306326530,"indNo":9,"isActive":1,"desc":"其他社会保险（ 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dic='[{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439173363974145,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439174102171649,"indNo":2,"isActive":1,"desc":"门诊"},{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439174836174850,"indNo":3,"isActive":1,"desc":"急诊"},{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439175628898305,"indNo":4,"isActive":1,"desc":"其他医疗机构转入"},{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439176438398977,"indNo":5,"isActive":1,"desc":"院内其他临床科室转入"},{"formItemId":1463438500199153665,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439177176596482,"indNo":6,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438500199153665" itemCode="CM-0-3-2"><a id="1463438500199153665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438500199153665_Note"></span></div><div class="itemTR" id="1463438502237585410_Row" dic='[{"formItemId":1463438502237585410,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439180116803586,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438502237585410,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439180875972610,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463438502237585410,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439181626753026,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463438502237585410,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439182377533442,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463438502237585410,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439183149285378,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438502237585410" itemCode="CM-0-3-3"><a id="1463438502237585410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438502237585410_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('DVT-1 预防性抗菌药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DVT-1 预防性抗菌药物使用情况</div><div title="DVT-1 预防性抗菌药物使用情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463438504238268418_Row" dic='[{"formItemId":1463438504238268418,"isDefault":0,"updateDate":1700191257000,"code":"y","id":1463439185623924737,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463438504238268418,"isDefault":0,"updateDate":1700191257000,"code":"n","id":1463439186391482370,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否使用预防性抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438504238268418" itemCode="CM-1-1-1"></div><a id="1463438504238268418_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438504238268418_Note"></span></div><div class="itemTR" id="1463438506234757121_Row" dic='[{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439187880460289,"indNo":1,"isActive":1,"desc":"青霉素类"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439188631240705,"indNo":2,"isActive":1,"desc":"多西环素"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439189373632514,"indNo":3,"isActive":1,"desc":"大环内酯类"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439191164600322,"indNo":4,"isActive":1,"desc":"第一代或第二代头孢菌素"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439191898603521,"indNo":5,"isActive":1,"desc":"喹诺酮类"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"f","id":1463439192682938369,"indNo":6,"isActive":1,"desc":"β-内酰胺类/β-内酰胺酶抑制剂"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"g","id":1463439193446301698,"indNo":7,"isActive":1,"desc":"碳青霉烯类及替加环素等特殊使用级抗菌药物"},{"formItemId":1463438506234757121,"isDefault":0,"updateDate":1700191257000,"code":"oth","id":1463439194184499201,"indNo":8,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防性抗菌药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438506234757121" itemCode="CM-1-2-1-2"></div><a id="1463438506234757121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438506234757121_Note"></span></div><div class="itemTR" id="1463438508302548994_Row" dic='[{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439195669282818,"indNo":1,"isActive":1,"desc":"替加环素"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439196415868929,"indNo":2,"isActive":1,"desc":"亚胺培南西司他丁钠"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439197166649346,"indNo":3,"isActive":1,"desc":"美罗培南"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439197904846850,"indNo":4,"isActive":1,"desc":"厄他培南"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439198651432961,"indNo":5,"isActive":1,"desc":"比阿培南"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"f","id":1463439199398019074,"indNo":6,"isActive":1,"desc":"万古霉素"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"g","id":1463439200144605185,"indNo":7,"isActive":1,"desc":"去甲万古霉素"},{"formItemId":1463438508302548994,"isDefault":0,"updateDate":1700191257000,"code":"oth","id":1463439200878608385,"indNo":8,"isActive":1,"desc":"其他特殊使用级抗菌药物"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择碳青霉烯类及替加环素等特殊使用级抗菌药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438508302548994" itemCode="CM-1-2-2-2"></div><a id="1463438508302548994_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438508302548994_Note"></span></div><div class="itemTR" id="1463438511532163073_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他特殊使用级抗菌药物名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438511532163073" itemCode="CM-1-2-2-1"><a id="1463438511532163073_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438511532163073_Note"></span></div><div class="itemTR" id="1463438513578983426_Row" dic='[{"formItemId":1463438513578983426,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439202375974913,"indNo":1,"isActive":1,"desc":"临床医师认为有使用规范内的抗菌药物治疗的禁忌症者"},{"formItemId":1463438513578983426,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439203122561025,"indNo":2,"isActive":1,"desc":"甲氧西林葡萄球菌发生率高的医疗机构，可选用去甲万古霉素预防感染"},{"formItemId":1463438513578983426,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439203864952833,"indNo":3,"isActive":1,"desc":"临床主任医师下达医嘱，认为有使用《特殊使用级抗菌药物》的指征"},{"formItemId":1463438513578983426,"isDefault":0,"updateDate":1700191257000,"code":"oth","id":1463439204607344641,"indNo":4,"isActive":1,"desc":"其他因素"},{"formItemId":1463438513578983426,"isDefault":0,"updateDate":1700191257000,"code":"UTD","id":1463439205358125058,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438513578983426" itemCode="CM-1-3-1-2"></div><a id="1463438513578983426_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438513578983426_Note"></span></div><div class="itemTR" id="1463438515625803777_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438515625803777" itemCode="CM-1-3-1-1"><a id="1463438515625803777_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438515625803777_Note"></span></div><div class="itemTR" id="1463438517634875394_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438517634875394" itemCode="CM-1-4-1"><a id="1463438517634875394_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438517634875394_Note"></span></div><p title="术中追加抗菌药物" class="itemsubCat">术中追加抗菌药物</p><div class="itemTR" id="1463438521246171137_Row" dic='[{"formItemId":1463438521246171137,"isDefault":0,"updateDate":1705043468000,"code":"y","matchRule":"","updateUser":"admin","id":1463439206859685890,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463438521246171137,"isDefault":1,"updateDate":1705043468000,"code":"n","matchRule":"","updateUser":"admin","id":1463439207597883394,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时间是否≥3小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438521246171137" itemCode="CM-1-5-1"></div><a id="1463438521246171137_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438521246171137_Note"></span></div><div class="itemTR" id="1463438523276214274_Row" dic='[{"formItemId":1463438523276214274,"isDefault":0,"updateDate":1700191257000,"code":"y","id":1463439210458398722,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463438523276214274,"isDefault":0,"updateDate":1700191257000,"code":"n","id":1463439211435671553,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438523276214274" itemCode="CM-1-5-2"></div><a id="1463438523276214274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438523276214274_Note"></span></div><div class="itemTR" id="1463438525302063105_Row" dic='[{"formItemId":1463438525302063105,"isDefault":0,"updateDate":1700191257000,"code":"y","id":1463439212954009602,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463438525302063105,"isDefault":0,"updateDate":1700191257000,"code":"n","id":1463439213692207106,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438525302063105" itemCode="CM-1-5-3"></div><a id="1463438525302063105_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438525302063105_Note"></span></div><div class="itemTR" id="1463438528321961985_Row" dic='[{"formItemId":1463438528321961985,"isDefault":0,"updateDate":1705043480000,"code":"y","matchRule":"","updateUser":"admin","id":1463439215181185025,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463438528321961985,"isDefault":1,"updateDate":1705043480000,"code":"n","matchRule":"","updateUser":"admin","id":1463439215923576834,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438528321961985" itemCode="CM-1-5-4"></div><a id="1463438528321961985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438528321961985_Note"></span></div><div class="itemTR" id="1463438530658189314_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438530658189314" itemCode="CM-1-6-1"><a id="1463438530658189314_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438530658189314_Note"></span></div><div class="itemTR" id="1463438534642778113_Row" dic='[{"formItemId":1463438534642778113,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439222668017665,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者"},{"formItemId":1463438534642778113,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439223410409473,"indNo":2,"isActive":1,"desc":"术前24小时-48小时内接受抗菌药物治疗的患者，术后仍需继续使用"},{"formItemId":1463438534642778113,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439224194744321,"indNo":3,"isActive":1,"desc":"在手术两天后，被确诊为感染者并行治疗的患者"},{"formItemId":1463438534642778113,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439224949719042,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗的适应症的患者，并经上级医师认定"},{"formItemId":1463438534642778113,"isDefault":0,"updateDate":1700191257000,"code":"UTD","id":1463439225817939969,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438534642778113" itemCode="CM-1-6-3-2"></div><a id="1463438534642778113_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438534642778113_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('DVT-2 预防术后深静脉血栓形成')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DVT-2 预防术后深静脉血栓形成</div><div title="DVT-2 预防术后深静脉血栓形成"><p title="术前进行Caprini血栓风险因素评估情况" class="itemsubCat">术前进行Caprini血栓风险因素评估情况</p><div class="itemTR" id="1463438537671065602_Row" dic='[{"formItemId":1463438537671065602,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439227340472322,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438537671065602,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439228326133762,"indNo":2,"isActive":1,"desc":"Caprini血栓风险因素评估"},{"formItemId":1463438537671065602,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439229068525570,"indNo":3,"isActive":1,"desc":"深静脉血栓（DVT）Wells评分"},{"formItemId":1463438537671065602,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439229806723073,"indNo":4,"isActive":1,"desc":"肺栓塞（PE）Wells评分"}]'><div style="display:inline-block;width:35%;" title="DVT-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实施首次血栓风险因素评估选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438537671065602" itemCode="DVT-2-1-1"><a id="1463438537671065602_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438537671065602_Note"></span></div><div class="itemTR" id="1463438552082694145_Row" dic='[{"formItemId":1463438552082694145,"isDefault":1,"updateDate":1705043518000,"code":"a","matchRule":"","updateUser":"admin","id":1463439245455671297,"indNo":1,"isActive":1,"keyword":"","desc":"B型超声检查"},{"formItemId":1463438552082694145,"isDefault":1,"updateDate":1705043518000,"code":"b","matchRule":"","updateUser":"admin","id":1463439246198063106,"indNo":2,"isActive":1,"keyword":"","desc":"D-二聚体（D-Dimer）检测"},{"formItemId":1463438552082694145,"isDefault":0,"updateDate":1705043518000,"code":"c","matchRule":"","updateUser":"admin","id":1463439246994980866,"indNo":3,"isActive":1,"keyword":"","desc":"其他检查（放射性核素静脉造影、血管内镜、血管内超声等）"},{"formItemId":1463438552082694145,"isDefault":0,"updateDate":1705043518000,"code":"UTD","matchRule":"","updateUser":"admin","id":1513697395932700674,"indNo":4,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DVT-2-1-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床常用检测方法</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438552082694145" itemCode="DVT-2-1-8"></div><a id="1463438552082694145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438552082694145_Note"></span></div><p title="Caprini血栓风险因素评估" class="itemsubCat">Caprini血栓风险因素评估</p><div class="itemTR" id="1463438539776606209_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DVT-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438539776606209" itemCode="DVT-2-1-2"><a id="1463438539776606209_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438539776606209_Note"></span></div><div class="itemTR" id="1463438541785677826_Row" dic='[{"formItemId":1463438541785677826,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439231358615554,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438541785677826,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439233740980225,"indNo":2,"isActive":1,"desc":"低危0-1分（DVT发生风险＜10%）"},{"formItemId":1463438541785677826,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439234525315074,"indNo":3,"isActive":1,"desc":"中危2分（DVT发生风险10-20%）"},{"formItemId":1463438541785677826,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439235263512578,"indNo":4,"isActive":1,"desc":"高危3-4分（DVT发生风险21-40%）"},{"formItemId":1463438541785677826,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439236010098689,"indNo":5,"isActive":1,"desc":"极高危≥5分（DVT发生风险41-80%）"}]'><div style="display:inline-block;width:35%;" title="DVT-2-1-3" class="itemDescTD">DVT发生风险分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438541785677826" itemCode="DVT-2-1-3"><a id="1463438541785677826_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438541785677826_Note"></span></div><p title="深静脉血栓（DVT）Wells评分" class="itemsubCat">深静脉血栓（DVT）Wells评分</p><div class="itemTR" id="1463438543941550082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DVT-2-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438543941550082" itemCode="DVT-2-1-4"><a id="1463438543941550082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438543941550082_Note"></span></div><div class="itemTR" id="1463438545954816001_Row" dic='[{"formItemId":1463438545954816001,"isDefault":0,"updateDate":1705043572000,"code":"def","matchRule":"","updateUser":"admin","id":1463439237545213953,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463438545954816001,"isDefault":1,"updateDate":1705043572000,"code":"a","matchRule":"","updateUser":"admin","id":1463439238291800065,"indNo":2,"isActive":1,"keyword":"","desc":"低危0分"},{"formItemId":1463438545954816001,"isDefault":0,"updateDate":1705043572000,"code":"b","matchRule":"","updateUser":"admin","id":1463439239105495042,"indNo":3,"isActive":1,"keyword":"","desc":"中危1-2分"},{"formItemId":1463438545954816001,"isDefault":0,"updateDate":1705043572000,"code":"c","matchRule":"","updateUser":"admin","id":1463439239847886849,"indNo":4,"isActive":1,"keyword":"","desc":"高危≥3分"}]'><div style="display:inline-block;width:35%;" title="DVT-2-1-5" class="itemDescTD">DVT发生风险分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438545954816001" itemCode="DVT-2-1-5"><a id="1463438545954816001_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438545954816001_Note"></span></div><p title="肺栓塞（PE）Wells评分" class="itemsubCat">肺栓塞（PE）Wells评分</p><div class="itemTR" id="1463438547989053442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DVT-2-1-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估分值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438547989053442" itemCode="DVT-2-1-6"><a id="1463438547989053442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438547989053442_Note"></span></div><div class="itemTR" id="1463438550077816833_Row" dic='[{"formItemId":1463438550077816833,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439241542385666,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438550077816833,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439242360274945,"indNo":2,"isActive":1,"desc":"低危0-1分"},{"formItemId":1463438550077816833,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439243102666754,"indNo":3,"isActive":1,"desc":"中危2-6分"},{"formItemId":1463438550077816833,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439243878612993,"indNo":4,"isActive":1,"desc":"高危≥7分"}]'><div style="display:inline-block;width:35%;" title="DVT-2-1-7" class="itemDescTD">DVT发生风险分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438550077816833" itemCode="DVT-2-1-7"><a id="1463438550077816833_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438550077816833_Note"></span></div><p title="预防深静脉栓塞医嘱执行时间" class="itemsubCat">预防深静脉栓塞医嘱执行时间</p><div class="itemTR" id="1463438554087571458_Row" dic='[{"formItemId":1463438554087571458,"isDefault":1,"updateDate":1705043599000,"code":"a","matchRule":"","updateUser":"admin","id":1463439248471375873,"indNo":1,"isActive":1,"keyword":"","desc":"既往有血栓形成病史，术后卧床过久，活动受限"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"b","matchRule":"","updateUser":"admin","id":1463439249234739201,"indNo":2,"isActive":1,"keyword":"","desc":"某些特殊部位手术：如骨科大手术（全髋关节置换、全膝关节置换、髋部骨折手术），重度创伤，脊髓损伤等"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"c","matchRule":"","updateUser":"admin","id":1463439249985519617,"indNo":3,"isActive":1,"keyword":"","desc":"术中使用骨水泥不当，或长时间使用止血带"},{"formItemId":1463438554087571458,"isDefault":1,"updateDate":1705043599000,"code":"d","matchRule":"","updateUser":"admin","id":1463439250732105729,"indNo":4,"isActive":1,"keyword":"","desc":"术后体内液体不足，利尿脱水治疗不当"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"e","matchRule":"","updateUser":"admin","id":1463439251470303234,"indNo":5,"isActive":1,"keyword":"","desc":"术后止血药物或脂肪乳使用不当"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"f","matchRule":"","updateUser":"admin","id":1463439252355301377,"indNo":6,"isActive":1,"keyword":"","desc":"术后弥散性血管内凝血（DIC）救治不当"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"oth","matchRule":"","updateUser":"admin","id":1463439253517123585,"indNo":7,"isActive":1,"keyword":"","desc":"其他因素"},{"formItemId":1463438554087571458,"isDefault":0,"updateDate":1705043599000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463439254276292610,"indNo":8,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div 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style="display:inline-block;width:35%;" title="DVT-2-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院后继续使用抗凝药</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438590028562434" itemCode="DVT-2-4-4"><a id="1463438590028562434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438590028562434_Note"></span></div><div class="itemTR" id="1463438592075382785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DVT-2-4-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他出院后使用的抗凝药</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438592075382785" itemCode="DVT-2-4-4-1"><a id="1463438592075382785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438592075382785_Note"></span></div><p title="在术前、术后、出院时为患者提供预防术后深静脉血栓形成健康教育服务" class="itemsubCat">在术前、术后、出院时为患者提供预防术后深静脉血栓形成健康教育服务</p><div class="itemTR" id="1463438594084454401_Row" dic='[{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"a","matchRule":"","updateUser":"admin","id":1463439308420562945,"indNo":1,"isActive":1,"keyword":"","desc":"避免肢体受压或创伤"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"b","matchRule":"","updateUser":"admin","id":1463439309175537666,"indNo":2,"isActive":1,"keyword":"","desc":"坐位时抬高肢体以促进静脉回流"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"c","matchRule":"","updateUser":"admin","id":1463439309930512385,"indNo":3,"isActive":1,"keyword":"","desc":"禁止按摩或搔抓患处"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"d","matchRule":"","updateUser":"admin","id":1463439310698070018,"indNo":4,"isActive":1,"keyword":"","desc":"逐渐增加活动量，感觉肢体疼痛时应立即停止活动"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"e","matchRule":"","updateUser":"admin","id":1463439313009131522,"indNo":5,"isActive":1,"keyword":"","desc":"避免久站或坐位时交叉双腿"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"f","matchRule":"","updateUser":"admin","id":1463439313759911938,"indNo":6,"isActive":1,"keyword":"","desc":"每天离床活动至少3次"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"g","matchRule":"","updateUser":"admin","id":1463439314493915137,"indNo":7,"isActive":1,"keyword":"","desc":"白天避免长期卧床或不活动"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"h","matchRule":"","updateUser":"admin","id":1463439315223724033,"indNo":8,"isActive":1,"keyword":"","desc":"长途汽车或飞机旅行时，中途活动肢体"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"i","matchRule":"","updateUser":"admin","id":1463439316079362049,"indNo":9,"isActive":1,"keyword":"","desc":"要注意观察，如发生血栓发生时的症状和体征（包括呼吸急促、胸痛、呼吸困难、背痛、肢体的红肿痛等），应及时与医生取得联系，及时就诊"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"j","matchRule":"","updateUser":"admin","id":1463439316813365250,"indNo":10,"isActive":1,"keyword":"","desc":"在使用华法令等预防性抗凝药物治疗期间，应按医嘱正确用药、检测检查，不得自行停药"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"k","matchRule":"","updateUser":"admin","id":1463439317576728577,"indNo":11,"isActive":1,"keyword":"","desc":"定期到医院复查血管彩超"},{"formItemId":1463438594084454401,"isDefault":1,"updateDate":1705043895000,"code":"l","matchRule":"","updateUser":"admin","id":1463439318327508994,"indNo":12,"isActive":1,"keyword":"","desc":"避免因不规范的用药和复诊而导致血栓加重或复发"}]'><div style="display:inline-block;width:35%;" title="DVT-2-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前、术后、出院时为患者提供针对性健康教育服务</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463438594084454401" itemCode="DVT-2-5-1"></div><a id="1463438594084454401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438594084454401_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('DVT-3 手术后并发症')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DVT-3 手术后并发症</div><div title="DVT-3 手术后并发症"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463438597309874178_Row" dic='[{"formItemId":1463438597309874178,"isDefault":0,"updateDate":1700191257000,"code":"y","id":1463439319787126786,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463438597309874178,"isDefault":1,"updateDate":1700191257000,"code":"n","id":1463439322031079426,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438597309874178" itemCode="CM-2-1"></div><a id="1463438597309874178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438597309874178_Note"></span></div><div class="itemTR" id="1463438599323140098_Row" dic='[{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439323532640257,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439324270837762,"indNo":2,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.3，T81.7，T81.8)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439325025812481,"indNo":3,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439325793370114,"indNo":4,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439326556733442,"indNo":5,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439327307513857,"indNo":6,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"f","id":1463439328041517058,"indNo":7,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"g","id":1463439328788103169,"indNo":8,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"h","id":1463439329538883586,"indNo":9,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"i","id":1463439330281275393,"indNo":10,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86.x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"j","id":1463439331040444417,"indNo":11,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"k","id":1463439331845750785,"indNo":12,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"l","id":1463439332583948289,"indNo":13,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"m","id":1463439333351505921,"indNo":14,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"n","id":1463439334089703426,"indNo":15,"isActive":1,"desc":"住院患者发生压疮(L89.0至L89.9)"},{"formItemId":1463438599323140098,"isDefault":0,"updateDate":1700191257000,"code":"oth","id":1463439334823706626,"indNo":16,"isActive":1,"desc":"其他 (用ICD-10四位亚目和名称说明)"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438599323140098" itemCode="CM-2-2"><a id="1463438599323140098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438599323140098_Note"></span></div><div class="itemTR" id="1463438601382543361_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-2-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术后并发症类别及ICD-10四位亚目和名称填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438601382543361" itemCode="CM-2-3-1-1"><a id="1463438601382543361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438601382543361_Note"></span></div><div class="itemTR" id="1463438603454529537_Row" dic='[{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439336308490242,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439337117990913,"indNo":2,"isActive":1,"desc":"O04.5医疗性流产,完全性或未特指,并发生殖道和盆腔感染"},{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439337864577025,"indNo":3,"isActive":1,"desc":"T81.1在操作中发生或由于操作造成的休克,不可归类在他处者"},{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439340079169538,"indNo":4,"isActive":1,"desc":"T81.2在操作中意外的穿刺和撕裂,不可归类在他处者"},{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439340821561345,"indNo":5,"isActive":1,"desc":"T81.7操作后的血管并发症,不可归类在他处者"},{"formItemId":1463438603454529537,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439341597507586,"indNo":6,"isActive":1,"desc":"T81.8操作的其他并发症,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438603454529537" itemCode="CM-2-3-1"><a id="1463438603454529537_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438603454529537_Note"></span></div><div class="itemTR" id="1463438605451018241_Row" dic='[{"formItemId":1463438605451018241,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439343090679810,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438605451018241,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439343841460226,"indNo":2,"isActive":1,"desc":"I26.9肺栓塞未提及急性肺源性心脏病"},{"formItemId":1463438605451018241,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439344583852034,"indNo":3,"isActive":1,"desc":"O04.2医疗性流产,不完全性,并发栓塞"},{"formItemId":1463438605451018241,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439345334632450,"indNo":4,"isActive":1,"desc":"O07.2医疗性流产失败,并发栓塞"},{"formItemId":1463438605451018241,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439346072829954,"indNo":5,"isActive":1,"desc":"O88.2产科血凝块栓塞"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后肺栓塞例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438605451018241" itemCode="CM-2-3-2"><a id="1463438605451018241_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438605451018241_Note"></span></div><div class="itemTR" id="1463438607619473410_Row" dic='[{"formItemId":1463438607619473410,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439347599556609,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438607619473410,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439348333559810,"indNo":2,"isActive":1,"desc":"I80.2下肢其他深部脉管的静脉炎和血栓性静脉炎"},{"formItemId":1463438607619473410,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439349067563010,"indNo":3,"isActive":1,"desc":"I82.8其他特指的静脉栓塞和血栓形成"},{"formItemId":1463438607619473410,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439349818343425,"indNo":4,"isActive":1,"desc":"O22.3妊娠期深静脉血栓形成"},{"formItemId":1463438607619473410,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439350560735233,"indNo":5,"isActive":1,"desc":"O87.1产褥期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后深静脉血栓例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438607619473410" itemCode="CM-2-3-3"><a id="1463438607619473410_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438607619473410_Note"></span></div><div class="itemTR" id="1463438609645322242_Row" dic='[{"formItemId":1463438609645322242,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439352066490369,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438609645322242,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439352800493570,"indNo":2,"isActive":1,"desc":"T81.4操作后的感染,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后败血症例数</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463438609645322242" itemCode="CM-2-3-4"></div><a id="1463438609645322242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438609645322242_Note"></span></div><div class="itemTR" id="1463438611650199553_Row" dic='[{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439354331414529,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439355103166466,"indNo":2,"isActive":1,"desc":"O04.1医疗性流产,不完全性,并发延迟或过度出血"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439355845558274,"indNo":3,"isActive":1,"desc":"O04.6医疗性流产,完全性或未特指,并发延迟或过度出血"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439356575367169,"indNo":4,"isActive":1,"desc":"O04.8医疗性流产,完全性或未特指,伴有其他和未特指的并发症"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"d","id":1463439357338730497,"indNo":5,"isActive":1,"desc":"O07.1医疗性流产失败,并发延迟或过度出血"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"e","id":1463439358450221058,"indNo":6,"isActive":1,"desc":"O07.6其他和未特指的企图流产失败,并发延迟或过度出血"},{"formItemId":1463438611650199553,"isDefault":0,"updateDate":1700191257000,"code":"f","id":1463439359201001474,"indNo":7,"isActive":1,"desc":"T81.0并发于操作的出血和血肿,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后出血或血肿例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438611650199553" itemCode="CM-2-3-5"><a id="1463438611650199553_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438611650199553_Note"></span></div><div class="itemTR" id="1463438613676048386_Row" dic='[{"formItemId":1463438613676048386,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439361671446529,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438613676048386,"isDefault":0,"updateDate":1700191257000,"code":"a","id":1463439362636136449,"indNo":2,"isActive":1,"desc":"T81.3手术伤口破裂,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术伤口裂开</div><div 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class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438615781588993" itemCode="CM-2-3-7"><a id="1463438615781588993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438615781588993_Note"></span></div><div class="itemTR" id="1463438618843430913_Row" 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dic='[{"formItemId":1463438664360017921,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439488188432386,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438664360017921,"isDefault":1,"updateDate":1701949613000,"code":"a","updateUser":"batch","id":1463439489031487489,"indNo":2,"isActive":1,"desc":"患者说他们房间周边在晚上“总是”安静"},{"formItemId":1463438664360017921,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439490826649601,"indNo":3,"isActive":1,"desc":"患者说他们房间周边在晚上“经常”安静"},{"formItemId":1463438664360017921,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439491564847106,"indNo":4,"isActive":1,"desc":"患者说他们房间周边在晚上“有时”或“从不”安静"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病房与周边噪音</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438664360017921" itemCode="CM-5-2-5"><a id="1463438664360017921_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438664360017921_Note"></span></div><div class="itemTR" id="1463438666562027521_Row" dic='[{"formItemId":1463438666562027521,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439493448089601,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438666562027521,"isDefault":1,"updateDate":1701949622000,"code":"a","updateUser":"batch","id":1463439494194675713,"indNo":2,"isActive":1,"desc":"患者说他们的医生“总是”很好沟通"},{"formItemId":1463438666562027521,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439494932873218,"indNo":3,"isActive":1,"desc":"患者说他们的医生“经常”很好沟通"},{"formItemId":1463438666562027521,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439495750762497,"indNo":4,"isActive":1,"desc":"患者说他们的医生“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>医生沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438666562027521" itemCode="CM-5-2-6"><a id="1463438666562027521_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438666562027521_Note"></span></div><div class="itemTR" id="1463438668659179522_Row" dic='[{"formItemId":1463438668659179522,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439497629810690,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438668659179522,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463439498384785410,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463438668659179522,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439499135565825,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463438668659179522,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439499873763330,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438668659179522" itemCode="CM-5-2-7"><a id="1463438668659179522_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438668659179522_Note"></span></div><div class="itemTR" id="1463438671721021442_Row" dic='[{"formItemId":1463438671721021442,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439501350158338,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438671721021442,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463439502096744449,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463438671721021442,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439502834941954,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463438671721021442,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439503577333761,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438671721021442" itemCode="CM-5-2-8"><a id="1463438671721021442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438671721021442_Note"></span></div><div class="itemTR" id="1463438673721704450_Row" dic='[{"formItemId":1463438673721704450,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439505284415489,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438673721704450,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463439506110693378,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463438673721704450,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439506899222530,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463438673721704450,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439507654197249,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438673721704450" itemCode="CM-5-2-9"><a id="1463438673721704450_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438673721704450_Note"></span></div><div class="itemTR" id="1463438675814662145_Row" dic='[{"formItemId":1463438675814662145,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439509176729601,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438675814662145,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463439509944287234,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463438675814662145,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439510770565122,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463438675814662145,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439511601037314,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438675814662145" itemCode="CM-5-2-10"><a id="1463438675814662145_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438675814662145_Note"></span></div><div class="itemTR" id="1463438677815345154_Row" dic='[{"formItemId":1463438677815345154,"isDefault":0,"updateDate":1700191257000,"code":"def","id":1463439513110986753,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463438677815345154,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463439513912098818,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463438677815345154,"isDefault":0,"updateDate":1700191257000,"code":"b","id":1463439514683850754,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463438677815345154,"isDefault":0,"updateDate":1700191257000,"code":"c","id":1463439515447214081,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438677815345154" itemCode="CM-5-2-11"><a id="1463438677815345154_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438677815345154_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('DVT-7 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DVT-7 住院费用</div><div title="DVT-7 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463438679824416769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438679824416769" itemCode="CM-6-1"><a id="1463438679824416769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438679824416769_Note"></span></div><div class="itemTR" id="1463438681829294082_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438681829294082" itemCode="CM-6-2"><a id="1463438681829294082_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438681829294082_Note"></span></div><div class="itemTR" id="1463438683976777729_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438683976777729" itemCode="CM-6-3"><a id="1463438683976777729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438683976777729_Note"></span></div><div class="itemTR" id="1463438686971510785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438686971510785" itemCode="CM-6-4"><a id="1463438686971510785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438686971510785_Note"></span></div><div class="itemTR" id="1463438689077051394_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438689077051394" itemCode="CM-6-5"><a id="1463438689077051394_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438689077051394_Note"></span></div><div class="itemTR" id="1463438692419911681_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438692419911681" itemCode="CM-6-6"><a id="1463438692419911681_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438692419911681_Note"></span></div><div class="itemTR" id="1463438694449954817_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438694449954817" itemCode="CM-6-7"><a id="1463438694449954817_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438694449954817_Note"></span></div><div class="itemTR" id="1463438696932982785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438696932982785" itemCode="CM-6-8"><a id="1463438696932982785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438696932982785_Note"></span></div><div class="itemTR" id="1463438699197906945_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438699197906945" itemCode="CM-6-9"><a id="1463438699197906945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438699197906945_Note"></span></div><div class="itemTR" id="1463438701307641858_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438701307641858" itemCode="CM-6-10"><a id="1463438701307641858_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438701307641858_Note"></span></div><div class="itemTR" id="1463438703379628033_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438703379628033" itemCode="CM-6-11"><a id="1463438703379628033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438703379628033_Note"></span></div><div class="itemTR" id="1463438705480974338_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438705480974338" itemCode="CM-6-12"><a id="1463438705480974338_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438705480974338_Note"></span></div><div class="itemTR" id="1463438707527794690_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438707527794690" itemCode="CM-6-13"><a id="1463438707527794690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438707527794690_Note"></span></div><div class="itemTR" id="1463438709566226434_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438709566226434" itemCode="CM-6-14"><a id="1463438709566226434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438709566226434_Note"></span></div><div class="itemTR" id="1463438711604658177_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438711604658177" itemCode="CM-6-15"><a id="1463438711604658177_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438711604658177_Note"></span></div><div class="itemTR" id="1463438713676644354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438713676644354" itemCode="CM-6-16"><a id="1463438713676644354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438713676644354_Note"></span></div><div class="itemTR" id="1463438716730097665_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438716730097665" itemCode="CM-6-17"><a id="1463438716730097665_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438716730097665_Note"></span></div><div class="itemTR" id="1463438718772723713_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438718772723713" itemCode="CM-6-18"><a id="1463438718772723713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438718772723713_Note"></span></div><div class="itemTR" id="1463438720802766849_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438720802766849" itemCode="CM-6-19"><a id="1463438720802766849_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438720802766849_Note"></span></div><div class="itemTR" id="1463438722841198594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438722841198594" itemCode="CM-6-20"><a id="1463438722841198594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438722841198594_Note"></span></div><div class="itemTR" id="1463438724959322114_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438724959322114" itemCode="CM-6-21"><a id="1463438724959322114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438724959322114_Note"></span></div><div class="itemTR" id="1463438727035502594_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438727035502594" itemCode="CM-6-22"><a id="1463438727035502594_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438727035502594_Note"></span></div><div class="itemTR" id="1463438729174597634_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438729174597634" itemCode="CM-6-23"><a id="1463438729174597634_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438729174597634_Note"></span></div><div class="itemTR" id="1463438731234000898_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438731234000898" itemCode="CM-6-24"><a id="1463438731234000898_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438731234000898_Note"></span></div><div class="itemTR" id="1463438733247266818_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438733247266818" itemCode="CM-6-25"><a id="1463438733247266818_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438733247266818_Note"></span></div><div class="itemTR" id="1463438735277309953_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438735277309953" itemCode="CM-6-26"><a id="1463438735277309953_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438735277309953_Note"></span></div><div class="itemTR" id="1463438737273798658_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438737273798658" itemCode="CM-6-27"><a id="1463438737273798658_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438737273798658_Note"></span></div><div class="itemTR" id="1463438739299647489_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438739299647489" itemCode="CM-6-28"><a id="1463438739299647489_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438739299647489_Note"></span></div><div class="itemTR" id="1463438741325496322_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438741325496322" itemCode="CM-6-29"><a id="1463438741325496322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438741325496322_Note"></span></div><div class="itemTR" id="1463438743431036930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463438743431036930" itemCode="CM-6-30"><a id="1463438743431036930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463438743431036930_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>DVT-1 预防性抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>DVT-2 预防术后深静脉血栓形成</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>DVT-3 手术后并发症</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>DVT-4 手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>DVT-5 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>DVT-6 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>DVT-7 住院费用</a></li></ul></div>
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